Root-cause analysis of bacteraemia increase and surveillance data in hemodialysis


In 2017, the dialysis centre of East Reunion Hospital Group (ERHG) based in Saint-Benoit highlighted an increase in bacteraemia's rates. It was a significant rising compared to previous years. Indeed, ERHG is participating since 2013 to the France haemodialysis infections network surveillance (DIALIN) [1], created in 2005 and that is allowing assessing bacteraemia. DIALIN is a multicentre prospective permanent survey that has followed six voluntary centres in 2005 and forty-two in 2016. Objectives of this network are firstly to produce data about acquired infections in haemodialysis sector such as infection incidence rate and standardized ratios allowing centres to compare themselves and, secondly, to improve the quality of care. The current study describe how a root cause analysis has been conducted through the ALARM risk assessment methodology to set up action plans and to reduce the phenomenon [2] [3].

Objective: To investigate the bacteraemia increase in haemodialysis sector based on data from specific dialysis nosocomial infections national network surveillance (DIALIN) and through an Association of Litigation and Risk Management protocol (ALARM).

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Original Publication Year: 
Event/Publication Date: 
January, 2019

June 18, 2019

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